TWI357026B - Medical information interchange method and server - Google Patents

Medical information interchange method and server Download PDF

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TWI357026B
TWI357026B TW97111823A TW97111823A TWI357026B TW I357026 B TWI357026 B TW I357026B TW 97111823 A TW97111823 A TW 97111823A TW 97111823 A TW97111823 A TW 97111823A TW I357026 B TWI357026 B TW I357026B
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information
server
medical
information exchange
unit
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TW97111823A
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TW200943214A (en
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I Kuang Chien
Chan Hsien Chien
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I Kuang Chien
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1357026 九、發明說明: 【發明所屬之技術領域】 本發明係關於一種資訊交換方法及其飼服哭 β 關於一種醫療資訊交換方法及資訊交換網站伺服°器/、疋 【先前技術】 保險已為生活中不可或缺的一 二,各家保險公,無不推出各種保險商品,以== ::難:而’對於—,則是長久以=克者 造成保險理賠效率低落的原因, ,申請保險理賠時,必須填妥相 並 =人常需要與醫院直接接洽辦理, =)’ =任C於所需文件資料或流程不熟ϊ 更多時間再次向醫行補件’此時將耗費 杆叙X進仃文件的申請。尤其是對於長者、 瑣且冗县的二ί病尚完全未康復的被保險人來說,如此繁 、 、王序,將造成被保險人於申請理賠時的不便。 被保::常或不同保險商品時, 哪些保險商品貝回想出究竟在哪幾家保險公司有投保 但其僅 此外,雖然有保險公司採用加速理賠的模式, 5 M>/〇26 二:。申請:目;接收目標項目,目標項目係由使用者於至 —可I咕項目中挑選;以及傳送目標項目所對應之至少 文件品求至相對應之至少一醫療單位伺服器。 【實施方式】 為,本發明之上述和其他目的、特徵和優點能更明顯 作詳細說出本發明之具體實施例,並配合所附圖式, 严产力月口 考圖1係本發明之資訊交換網站伺服器之使用 二資=換網站饲服器1〇係作為醫療資訊交換 服器9。電二接:醫二:器8〇與業務單位伺 疋伐具T,西療早位伺服器80盥掌潞罝你 伺服器90的數量不限。 ,、某務早位 罝二本例中’係以保險公司之保險理賠為例。業矛欠 5服态90即為保險業者所屬 n 器8〇即為韻所叙舰器。 何服 用不限於此。舉例來說,案』疋本發明之應 , 兄業務早位伺服器90亦可為封合、_ 利機構、保險代辦機構、政府部門、勞保局、八仅“田 之伺服器等。 ’、。A保局所屬 本發明之資訊交換網站飼服器1〇係透過可相 — f之網路"以接收與傳遞醫療單位龍器80*業矛欠^貝 柯服裔9G所提供之相關資訊。舉例來說 、=立 :網路或電信網路等。其中,資訊交換網站词服二=同 處理器30與記憶體20 ^口 10包括 -資料庫24,藉由處理器己包^式22與第 W仃屺隱體20之軟體程式 7 丄357026 可中請項目計算而來,透過試算,提供使用者70較 佳之申請理賠方案。例如當醫療住院給付同時存 itj與「實支實付」_ ’可先行計算何方案對使用者7〇 舉例來說’若使用者70住院15天,醫療費用共 :’使^者70的投保項目同時包括每日)萬元的「按日給付 情萬元的「實支實付」’在只能選擇其中一種的」 障况下…貝讯交換網站伺服器1〇即計算出:若以 付」可獲得理賠15葸亓,以「麻*垂从, 牧《、,’口 萬元。 15紅U貝支貫付」則可獲得理賠27 步驟206:接收目標項目,目標項目係由使用者於至少一可 申請項目中挑選。 使用網站飼服器1〇接收目標項目,目標項目係由 用去可申請項目中挑選。於本實施例中,使 用者70係相清單上勾·成為目標項目。 步_^^項目所對應之至少—文件需求至相對應 V 一醫療單位词服器。 恭係以保險公司為單位,向醫院進行索取醫 〜、貝…(例如需要幾張診斷書、幾張收據等)。、 步驟208 :。接收至少-文件需求。 J療單位伽I!轉收到至少—文件需求。 1357026 ' · » μ表示申請文件上有補件也無法克服之情形(例如根本 不符理賠規定,亦無補件之問題),因而退件。接著便將代 表退件」之訊息回傳到資訊交換網站伺服器10之後’便 t止流程。傳遞至資訊交換網站伺服器ig之訊息以供 查詢、追蹤之用。 欠,·貝 (3)通過 =件齊備,且通過審核,即表示使用者%可獲得理 二严〇者:將代表「通過」之訊息回傳到資訊交換網站伺 之後’便停止流程。傳遞至資訊交 之訊息以供後續查詢、追蹤之用。 ㈧服裔10 步驟扣至少-補件資訊,並且傳送補 父換網站伺服器。 主貝矾 吾保險業者審核後發現有資料 。。 服器90產生至少—補件資 /之處_早位词 90傳遽至次邙六故牛 補件η訊從業務單位伺 寻避至貝0凡父換網站飼服器】0。 服。。1357026 IX. Description of the invention: [Technical field of invention] The present invention relates to an information exchange method and a feeding service crying thereof. About a medical information exchange method and an information exchange website servo device, 疋 [prior art] insurance has been Indispensable in life, each insurance company, all kinds of insurance products, to ==: difficult: and 'for-, is the reason for the long-term low-cost insurance claims, the application, apply Insurance claims must be completed and = people often need to contact the hospital directly, =) ' = C is not familiar with the required documents or procedures ϊ More time to replenish the doctor's time Syria X file application. Especially for the insured who is not recovering from the elderly, the trivial and the redundant county, such a complicated, and Wang Xu will cause inconvenience to the insured when applying for compensation. Insured:: When it comes to different or different insurance products, which insurance products come back to figure out which insurance companies are insured, but only in addition, although there are insurance companies adopting the accelerated claims model, 5 M>/〇26 2:. The application target: the target item is selected by the user in the -I project, and the at least one document corresponding to the target item is delivered to the corresponding at least one medical unit server. BRIEF DESCRIPTION OF THE DRAWINGS The above and other objects, features, and advantages of the present invention will become more apparent from the embodiments of the invention. The use of the information exchange website server is the same as the medical information exchange server. Electric two: Medical 2: 8 〇 with the business unit 疋 疋 T T, West treatment early server 80 盥 潞罝 伺服 伺服 伺服 伺服 伺服In the second instance, the insurance claims of insurance companies are taken as an example. The industry spears 5, the service state 90 is the insurer's own n 8 〇 is the rhyme of the ship. The application is not limited to this. For example, the case of the invention, the brother business early server 90 can also be a seal, _ profit agencies, insurance agencies, government departments, labor insurance bureaus, eight only "Tianzhi server, etc.." The information exchange website of the present invention belongs to the information exchange website of the present invention, and the information provided by the medical unit is received and transmitted by the medical unit. For example, = stand: network or telecommunication network, etc. Among them, the information exchange website word service two = the same processor 30 and the memory 20 ^ port 10 includes - the database 24, by the processor has been included 22 The software program 7 丄 357026 of the WII hidden body 20 can be calculated from the project, and the user 70 is better able to apply for a claim settlement plan. For example, when the medical hospitalization payment is saved, the ITJ and the "real payment" are saved. _ 'You can calculate the plan first. For example, if the user 70 is hospitalized for 15 days, the medical expenses are: 'The insurance plan for the 70 person also includes the daily) 10,000 yuan. Yuan’s "real pay" "can only choose one of them" Next...Baixun exchange website server 1 is calculated: If you pay "can obtain a claim of 15", "Ma* 垂 从, 牧",, '口万万. 15 红 U 贝支付付" A claim 27 is available. Step 206: Receiving a target item, the target item is selected by the user in at least one of the available items. The target item is received using the website feeding device, and the target item is selected from the available applications. In the present embodiment, the user 70 is linked to the list and becomes the target item. The step _^^ item corresponds to at least the file requirement to the corresponding V medical unit word service. Mr. Christine asked the hospital for medical treatment, such as doctors, etc. (for example, several medical certificates, several receipts, etc.). , step 208:. Receive at least - file requirements. J treatment unit gamma I! received at least - file requirements. 1357026 ' · » μ indicates that there is a situation in the application file that cannot be overcome (for example, there is no problem with the claims, and there is no problem with the replacement), so the item is returned. Then, the message of "returning the representative" is sent back to the information exchange website server 10, and then the process is stopped. The message passed to the information exchange website server ig for query and tracking purposes.欠,·贝 (3) Passed = complete, and approved, that means the user can get the rationale. The stricter: After the message of “passing” is sent back to the information exchange website, the process is stopped. Pass the message to the information for subsequent inquiry and tracking. (8) Service 10 Steps deduct at least - the patch information, and send the supplement to the website server. After the review, the main insurance company found information. . The server 90 generates at least - the replenishment capital / the place _ the early word 90 Chuanqi to the second 邙 six cows. The supplement η news from the business unit to avoid the shell 0 to the father to change the website feeding machine] 0. clothes. .

步驟2】3 :從至少一 f款„D ^業務早位伺服器接收至少一 並且將至少一補件資气值 為矾, 療單位飼服器。 傳遞至相對應之至少1 步驟2M:接收至少—補件資訊。 醫療單位伺服器_收到至少—補件資訊Step 2] 3: Receive at least one from at least one f „D^ service early server and at least one supplement value 矾, the treatment unit feeds the device. Pass to the corresponding at least 1 step 2M: Receive At least - patch information. Medical unit server _ received at least - patch information

Claims (1)

1357026 « · 100年9月7曰修正替換頁 十、申請專利範圍: 1,:種醫療資,交換方法,係用於一資訊交換網站舰 器’該資訊父換網站词服器分別與至少一醫療單位飼服 器與至少-f務單位伽器電性連接,其巾該資訊交換 網站祠服器包括-第一資料庫,每一該至少一業務單位 伺服器包括-第二資料庫,該醫療資訊交換方法包括下 列步驟: 接收代表一使用者之一身分識別資訊; 將該身分識別資訊與該第一資料庫進行比對,以獲得至 少-可申請單位資訊,並將該身分識別資訊傳遞至與 該至y可申凊單位資訊相對應之至少一業務單位 伺服器; ~ 該至少一業務單位伺服器將該身分識別資訊與該第二 資料庫進行比對,篩選出該使用者可進行之至少一可 申明項目,並且將該至少一可申請項目傳遞至該資訊 交換網站词服器; 接收一目標項目,該目標項目係由該使用者於該至少一 可申請項目中挑選;以及. 傳送該目標項目所對應之至少一文件需求至相對應之 該至少一醫療單位伺服器。 ,申印專利範圍第1項所述之醫療資訊交換方法,其中 "亥業務單位伺服器係為一保險業者伺服器。 .如申凊專利範圍第1或2項所述之醫療資訊交換方法,1 中該方法更包括: 〃 100年9月7日修正替換頁 產生一建議方案,該建議方案係根據該至少一可申請項 目計算而來。 4.如申請專利範圍第1或2項所述之醫療資訊交換方法,其 中該方法更包括: °亥至少一醫療單位词服器接收至少一文件需求; 該至少一醫療單位伺服器傳送滿足至少一文件需求之 至少一醫療資訊至該資訊交換網站伺服器❶ 5·如申請專利範圍第4項所述之醫療資訊交換方法,其中 該至少一醫療資訊係為一診斷書、一繳費收據、一病歷 或一檢查資料。 6·如申清專利範圍第5項所述之資訊交換方法,其中該至 ^ —醫療資訊係符合HL-7資訊交換格式。 7·如申請專利範圍第5項所述之資訊交換方法,其中該至 少一醫療資訊係符合TMT資訊交換格式。 如申明專利範圍第4項所述之醫療資訊交換方法,其中 該方法更包括: 、 從-玄至少-醫療單位词服器接收該至少一醫療資訊,並 將該至少一醫療資訊傳遞至相對應之該至少一業務 單位伺服器; 該至少一業務單位伺服器產生至少一補件資訊,並且傳 送該至少一補件資訊至該資訊交換網站伺服器。 .如申β月專利範圍第8項所述之醫療資訊交換方法, 該方法更包括: 〃 1357026 100年9月7曰修正替換頁 從至少一業務單位伺服器接收至少一補件資訊,並且將 至少一補件資訊傳遞至相對應之至少一醫療單位伺 服器; ” 接收滿足該至少一補件資訊之至少一補充醫療資訊。 10.—種資訊交換網站伺服器,該資訊交換網站伺服器分別 與至少一醫療單位伺服器與至少一業務單位伺服器電性 連接,其中每一該至少一業務單位伺服器包括一第二資 料庫’該資訊交換網站伺服器包括: δ己憶體,該δ己憶體包括一軟體程式與一第一資料庫; 一處理器,該處理器與該記憶體電性連接,該處理器可 執行該軟體程式以達成下列機制: 接收代表一使用者之一身分識別資訊; 將該身分識別資訊與該第一資料庫進行比對,以獲得至 少-可申請單位資訊,並將該身分識別資訊傳遞至與 該至少一可申請單位資訊相對應之至少一業務單位 伺服器; 該至少一業務單位伺服器將該身分識別資訊與該第二 資料庫進行比對,篩選出該使用者可進行之至少一可 申請項目,並且將該至少一可申請項目傳遞至該資訊 交換網站伺服器; 接收一目標項目,該目標項目係由該使用者於該至少— 可申請項目中挑選;以及 傳送該目標項目所對應之至少一文件需求至相對應之 該至少一醫療單位伺服器。 1357026 < > 100年9月7日修正替換頁 11. 如申請專利範圍第10項所述之資訊交換網站伺服器,其 中該業務單位伺服器係為一保險業者伺服器。 12. 申印專利範圍第⑺或丨丨項所述之資訊交換網站伺服 器’其中該機制更包括: 產生一建議方案,該建議方案係根據該至少一可申請項 目計算而來。 13士申請專利範圍第1G或11項所述之資訊交換網站祠服 器’其中該機制更包括: 該至少一醫療單位伺服器接收至少一文件需求; 該至少一醫療單位伺服器傳送滿足至少一文件需求之 至夕、醫療 > 訊至該資訊交換網站伺服器。 申„月專利範圍第13項所述之資訊交換網站_服器,其 中該至少-醫療資訊係為—診斷書、—繳費收據、一病 歷或一檢查資料。 申請專利範圍第14項所述之資訊交換網站舰器,其 中該至少―1療資訊係符合HL_7資訊交換格式。 16.tl睛專利範圍第14項所述之資訊交換網站舰器,其 該至少—醫療資訊係符合TMT資訊交換格式。 申請補_第13項職之f訊交 中該機制更包括: 從該至少一醫療單位祠服考接收今 干υ服态接收該至少一醫療資訊,並 單位伺服器 ΪΓ醫療資訊傳遞至相對應之該至少一業務 19 I » 100年9月7曰修正替換頁 該至少一業務單位伺服器產生至少一補件資訊,並且傳 送該至少一補件資訊至該資訊交換網站伺服器。 18 如申凊專利範圍第17項所述之資訊交換網站伺服器,其 中該機制更包括: 從至J一業務單位伺服器接收至少一補件資訊,並且將 至少一補件資訊傳遞至相對應之至少一醫療單位伺 服器; 接收滿足該至少—補件資訊之至少-補充醫療資訊。 201357026 « · September 7th, 2014 Correction and replacement page 10, the scope of application for patents: 1, a kind of medical resources, exchange method, is used for a news exchange website ship 'the information father to change the website word server respectively and at least one The medical unit feeding device is electrically connected to the at least one unit, and the information exchange website server includes a first database, and each of the at least one business unit server includes a second database, The medical information exchange method comprises the following steps: receiving identification information representing one of the users; and comparing the identity identification information with the first database to obtain at least-applicable unit information, and transmitting the identity identification information And at least one business unit server corresponding to the information to the y-supplied unit; ~ the at least one business unit server compares the identity identification information with the second database, and selects the user to perform At least one of the identifiable items, and the at least one applicationable item is delivered to the information exchange website word server; receiving a target item, the target item is And selecting, by the user, the at least one documentable item; and transmitting at least one file requirement corresponding to the target item to the corresponding at least one medical unit server. The medical information exchange method described in the first item of the patent application scope, wherein the "Hai business unit server is an insurer server. In the medical information exchange method described in claim 1 or 2 of the patent scope, the method further includes: 修正 the revised replacement page on September 7, 100, generates a proposal according to the at least one The application project is calculated. 4. The method of medical information exchange according to claim 1 or 2, wherein the method further comprises: at least one medical unit word processor receiving at least one file requirement; the at least one medical unit server delivery meeting at least At least one medical information required by a document to the information exchange website server ❶ 5. The medical information exchange method according to claim 4, wherein the at least one medical information is a medical certificate, a payment receipt, and a Medical records or a check of information. 6. The information exchange method described in claim 5 of the patent scope, wherein the medical information is in accordance with the HL-7 information exchange format. 7. The method of information exchange as described in claim 5, wherein the at least one medical information conforms to the TMT information exchange format. The method for exchanging medical information according to claim 4, wherein the method further comprises: receiving the at least one medical information from the at least-medical unit word server, and transmitting the at least one medical information to the corresponding The at least one business unit server; the at least one business unit server generates at least one patch information, and transmits the at least one patch information to the information exchange website server. The method for exchanging medical information according to item 8 of the patent scope of the beta, the method further comprises: 〃 1357026 September 7th, 100th, revised replacement page receives at least one piece of supplement information from at least one business unit server, and Transmitting at least one piece of supplement information to the corresponding at least one medical unit server; ” receiving at least one supplementary medical information that satisfies the at least one piece of supplement information. 10. An information exchange website server, the information exchange website server respectively Electrically connecting with at least one medical unit server and at least one business unit server, wherein each of the at least one business unit server includes a second database. The information exchange website server comprises: δ hexamed body, the δ The memory includes a software program and a first database; a processor electrically coupled to the memory, the processor executing the software program to achieve the following mechanism: receiving an identity representative of a user Identifying information; comparing the identity identification information with the first database to obtain at least - application unit information, and the identity The identification information is transmitted to the at least one business unit server corresponding to the at least one applicable unit information; the at least one business unit server compares the identity identification information with the second database, and the user is selected Performing at least one licensable item and delivering the at least one licensable item to the information exchange website server; receiving a target item selected by the user in the at least-applicable item; and transmitting At least one file corresponding to the target item is required to correspond to the at least one medical unit server. 1357026 <> September 7, 100 revised replacement page 11. Information exchange as described in claim 10 The server of the business unit, wherein the server of the business unit is an insurer server. 12. The information exchange website server described in the scope of the patent application (7) or the above is also included in the mechanism, wherein the mechanism further includes: generating a proposal, The proposed scheme is calculated based on the at least one applicable item. The amount of the patent application mentioned in Article 1G or 11 of the patent application The exchange server server includes: the mechanism further comprises: the at least one medical unit server receiving at least one file requirement; the at least one medical unit server transmitting the at least one file request to meet the at least one document, the medical message is sent to the information Exchange the website server. The information exchange website _ server described in item 13 of the patent scope, wherein the at least - medical information is - a medical certificate, a payment receipt, a medical record or an examination data. Applying for the information exchange website ship described in item 14 of the patent scope, wherein at least one of the information is in accordance with the HL_7 information exchange format. 16.12 The object of the information exchange website described in item 14 of the patent scope, the at least the medical information is in accordance with the TMT information exchange format. In the application for the _13th job, the mechanism further includes: receiving the at least one medical information from the at least one medical unit, receiving the medical service, and transmitting the medical information to the corresponding server The at least one service 19 I » September 7th, 7th, revised replacement page, the at least one business unit server generates at least one piece of supplement information, and transmits the at least one piece of supplement information to the information exchange website server. 18 The information exchange website server according to claim 17, wherein the mechanism further comprises: receiving at least one piece of supplement information from the server to the J-business unit, and transmitting at least one piece of the replacement information to the corresponding one. At least one medical unit server; receiving at least the supplemental medical information that satisfies at least the information of the supplement. 20
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TWI699716B (en) * 2018-08-27 2020-07-21 虹光精密工業股份有限公司 Consultation service apparatus of an automatic civil service system and information processing method

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TWI556183B (en) * 2011-09-16 2016-11-01 American Internat Assurance Company Ltd Based on the cloud operation of the insurance contract operating system, operating methods and business management tools

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI699716B (en) * 2018-08-27 2020-07-21 虹光精密工業股份有限公司 Consultation service apparatus of an automatic civil service system and information processing method
US11138683B2 (en) 2018-08-27 2021-10-05 Avision Inc. Consultation service apparatus of an automatic civil service system and information processing method

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